Cord blood transplantation with a specific conditioning regimen and post-transplant treatment
Official title: Cord Blood Transplantation With Myeloablative Conditioning and Post-transplant Cyclophosphamide in Patients With Hematological Malignancies (The COmPACt Study)
Run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · NCT03802773 · Data updated 2026-11-12
This study is testing a new way to use cord blood for transplants to see if a specific treatment can help prevent complications and improve recovery for patients receiving the transplant.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 10 (estimated) |
| Sponsor | Fondazione Policlinico Universitario Agostino Gemelli IRCCS Academic / other |
| Drugs / interventions | Fludarabine, cyclophosphamide |
| Locations | 1 site (Roma, RM) |
| Status | Recruiting |
| Started | March 14, 2019 |
| Main results expected | November 26, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | April 9, 2025 |
| Trial ID | NCT03802773 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 with specific hematological malignancies who are eligible for cord blood transplantation.
✕Probably not a fit
Patients with active infections such as HIV, acute hepatitis B, or acute hepatitis C will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the outcomes of cord blood transplantation using a myeloablative conditioning regimen combined with post-transplant cyclophosphamide for preventing graft-versus-host disease (GVHD). The primary focus is on assessing neutrophil and platelet engraftment, as well as CD4+ cell counts at day +100 post-transplant. Secondary objectives include measuring the incidence and severity of both acute and chronic GVHD. The study aims to provide insights into alternative approaches for T cell depletion in cord blood transplantation.
Why it matters
Potential benefit: If successful, this approach could improve patient outcomes by enhancing immune recovery and reducing transplant-related complications.
How similar studies have gone: While there have been studies on cord blood transplantation, this specific approach with post-transplant cyclophosphamide is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age: ≥ 18 ≤ 75 years old * CB unit transplantation (TNC\> 2,0 x10\^7/kg and \> 4/6 loci HLA matched) * Myeloablative conditioning regimen consisting of either Thiotepa/ Busulfan/ Fludarabine or TBI/ Fludarabine * GVHD prophylaxis including PT-Cy (30 mg/kg or more on days + 3and +5) CSA and MMF * Diagnosis of 1 of the following hematological malignancies: Acute Myeloid Leukemia (AML), Myelodysplastic Syndrome, high risk Acute Lymphoblastic Leukemia (ALL), Bi phenotypic/undifferentiated leukemia, Chronic Myeloid Leukemia resistant to TK inhibitors, Ph-neg Myeloproliferative Neoplasms, resistant/relapsing Non-Hodgkin's lymphoma ineligible for an autologous transplant. Exclusion Criteria: * Positive serologic markers for human immunodeficiency virus (HIV) * Acute hepatitis B virus (HBV) or acute hepatitis C virus (HCV) infection
Where it's running
-
Fondazione Policlinico Universitario A. Gemelli IRCCS
Roma, Rm, Italy Recruiting
Study contacts
- Principal investigator: Patrizia Chiusolo, MD — Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Study coordinator: Andrea Bacigalupo, Prof.
- Email: andrea.bacigalupo@unicatt.it
- Phone: 0630154180
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Lower Dose Cyclophosphamide After Haploidentical Stem Cell Transplant
This trial tests whether giving half the usual amount of cyclophosphamide after haploidentical stem cell transplantation can still prevent GVHD in adults with blood cancers.
-
Polatuzumab Vedotin plus Rituximab with Reduced-dose chemo for frail seniors with DLBCL
This trial tests whether a gentler, first-line treatment (Polatuzumab Vedotin with Rituximab and reduced-dose chemo) helps older, frail patients with DLBCL stay disease-free longer.
-
Chemotherapy sensitivity-guided Culmerciclib combo for HR+/HER2- breast cancer before surgery
This trial tests whether adding Culmerciclib to chemotherapy before surgery can help people with HR+/HER2- breast cancer who don’t respond to initial TAC treatment.
-
Orelabrutinib plus Pola-R-CHP as first-line treatment for intermediate- to high-risk DLBCL
This trial tests whether adding orelabrutinib to the Pola-R-CHP regimen can improve outcomes for adults with intermediate- to high-risk newly diagnosed DLBCL.
-
Can older adults with breast cancer tolerate a dense CMF chemo schedule
This study tests whether giving a condensed CMF chemotherapy regimen is feasible for people 70 and older with breast cancer.
-
Auricular Point Stimulation With Dexamethasone vs Standard Anti-nausea Medications for Docetaxel‑Cyclophosphamide Therapy
This study tests whether adding ear acupuncture-like stimulation to dexamethasone can match or be as effective as standard antiemetic drugs for preventing nausea and vomiting in people receiving the docetaxel–cyclophosphamide chemotherapy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.